Individual
MRS. SHARON CICCHETTI ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15325
CA
363LF0000X
Family Nurse Practitioner
APRN03919
RI
363LF0000X
Family Nurse Practitioner
NP15325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN03919
NURSE PRACTITIONER-FAMILY
RI
01
—
GR0078351
MEDICAL
CA
Enumeration date
06/22/2006
Last updated
03/05/2025
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